Polycystic ovaries are a common affection in women. A high percentage presents irregular periods and, when during a gynaecological exploration an ultrasound is performed, multiple persistent follicles are observed.
The presence of follicles in the ovaries doesn’t necessary have to last forever; the woman may recover her normal ovarian cycle without the usage of medication.
Consequences of polycystic ovaries
It’s been proved that a high quantity of women with polycystic ovaries has resistance to insulin, and this makes it difficult for insulin to carry out its function of reducing blood glucose levels. This means that on the medium-long term these women have a higher risk of suffering from diabetes and all the complications linked to it. Therefore, it is vital for their doctors to take the necessary precautions to avoid it.
Recently, several medications that increase the sensitivity towards insulin are being prescribed to women with polycystic ovaries, in order to reduce the insulin resistance and to achieve an effective ovulation. The effect of these drugs on the ovarian quality is still being studied and the existing data are not definitive.
Polycystic ovaries and multiple pregnancies
It’s crucial to remember that women with polycystic ovaries, especially young women, tend to have a high response to medication. This means that with a lower dose, the medication tends to produce a large number of oocytes, which increases the risk of multiple pregnancy and ovarian hyperstimulation.
That’s why it’s important that the treatments are properly controlled by professionals with experience. On the other hand, this easy response to stimulation facilitates obtaining good results in the treatments.